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胰腺生长抑素在决定胰高血糖素对精氨酸和吗啡反应中的作用。

Role of pancreatic somatostatin in determining glucagon response to arginine and morphine.

作者信息

Klaff L J, Taborsky G J

出版信息

Am J Physiol. 1987 Jun;252(6 Pt 1):E751-5. doi: 10.1152/ajpendo.1987.252.6.E751.

Abstract

It has been proposed that pancreatic somatostatin (SS) tonically inhibits pancreatic glucagon secretion. In keeping with this hypothesis, we have previously shown that infusion of a nonimmunoreactive analogue of SS, [D-Ala5,D-Trp8]somatostatin (SSa), which in low doses inhibits SS secretion without inhibiting glucagon or insulin secretion, is associated with a large increase in glucagon and small increase in insulin secretion. Although direct stimulation of the alpha- and beta-cells by the analogue could not be excluded, high doses of the analogue appeared to inhibit insulin and glucagon secretion. These data therefore suggested that the effect of the analogue on insulin and glucagon secretion was indirect and due to reduction of tonic inhibition on the alpha- and beta-cells by SS. If pancreatic SS is an important regulator of glucagon secretion, then alterations in pancreatic SS should influence the glucagon response to secretagogues. Therefore, in the present study, we have examined the glucagon response to two different stimuli, arginine and morphine, either before or during suppression of pancreatic SS secretion. Intravenous injection of arginine produced a rapid increase of pancreatic glucagon output from the in vivo dog pancreas. When basal pancreatic SS output was suppressed by infusion of SSa, arginine injection produced a twofold larger glucagon response. Infusion of morphine directly into the pancreatic artery of the dog decreased pancreatic SS output and increased pancreatic glucagon output. When SS was suppressed by SSa infusion, morphine did not further suppress pancreatic SS secretion and the glucagon response to morphine was abolished.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

有人提出胰腺生长抑素(SS)可持续抑制胰腺胰高血糖素的分泌。与这一假说相符的是,我们之前已表明,输注一种非免疫反应性的SS类似物,即[D-丙氨酸5,D-色氨酸8]生长抑素(SSa),低剂量时可抑制SS分泌而不抑制胰高血糖素或胰岛素分泌,这与胰高血糖素大幅增加及胰岛素分泌小幅增加有关。尽管不能排除该类似物对α细胞和β细胞的直接刺激作用,但高剂量的该类似物似乎会抑制胰岛素和胰高血糖素分泌。因此,这些数据表明该类似物对胰岛素和胰高血糖素分泌的影响是间接的,是由于SS对α细胞和β细胞的持续抑制作用减弱所致。如果胰腺SS是胰高血糖素分泌的重要调节因子,那么胰腺SS的改变应该会影响胰高血糖素对促分泌素的反应。因此,在本研究中,我们检测了在抑制胰腺SS分泌之前或期间,胰高血糖素对两种不同刺激物(精氨酸和吗啡)的反应。静脉注射精氨酸可使体内犬胰腺的胰高血糖素输出迅速增加。当通过输注SSa抑制基础胰腺SS输出时,注射精氨酸产生的胰高血糖素反应增加了两倍。将吗啡直接注入犬的胰腺动脉可降低胰腺SS输出并增加胰腺胰高血糖素输出。当通过输注SSa抑制SS时,吗啡不会进一步抑制胰腺SS分泌,且对吗啡的胰高血糖素反应消失。(摘要截选至250字)

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